Individual provider Active NPI

Lesya M Shuba, MD

  • Ophthalmology Physician
  • Iowa City, IA
National Provider Identifier
1417938887
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36029 Issued in IA
Practice address
200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1082
Phone
(319) 356-2380
Fax
(319) 353-7699
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36029 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1082

Mailing address

200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1082
Phone (319) 356-2380

Other identifiers 2

IdentifierTypeStateIssuer
0469692MedicaidIA
57364OtherIAWELLMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417938887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "UNIVERSITY OF IOWA HOSPITALS & CLINICS",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421082",
            "telephone_number": "319-356-2380",
            "fax_number": "319-353-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "UNIVERSITY OF IOWA HOSPITALS & CLINICS",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421082",
            "telephone_number": "319-356-2380",
            "fax_number": "319-353-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBA",
        "first_name": "LESYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "36029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469692",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "57364",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.